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Insurance companies using new 59 modifiers starting Jan 2015

  1. Default Insurance companies using new 59 modifiers starting Jan 2015
    Medical Coding Books
    I am starting to query our insurance providers as to who will use the 4 new modifiers and who will not. I think if we can centralize this and post, it will save many people the grief once January gets here. If you receive a newsletter or update stating an insurance will use them, please post this info.

    I received an email from Blue Cross of Nebraska that they WILL be using these.

  2. #2
    Exclamation Carriers using new X(EPSU) modifiers
    I have found that Anthem BCBS and BCBS FL will not be recognizing the new modifiers. We have been told to bill as usual with the -59 when appropriate. I'm still checking out some of our other major carriers.

  3. #3
    United Healthcare says they ARE accepting these modifiers.

  4. #4
    Just heard that Aetna and Humana are also accepting them.

  5. Default X Modifiers
    Anthem will be accepting them eff 2/16/15. Until that date they can be submitted but will be considered informational.

  6. Default
    Priority Health in Michigan will be accepting them.

  7. #7
    Burlington, NC
    Default Carriers using the new X modifiers
    I am in North Carolina and Cigna as well as GWH-Cigna are using the new modifiers.

  8. Smile 25 and 59 modifiers
    I have been using these modifiers ever since the Mental Health and Addiction Parity Act went into effect last year with all payers. I get paid from all of them in MI and IN with no rejects due to modifiers. Psychiatrists can not bill any other way unless they want to be paid like a master's degree therapist or doctoral level nonphysician. As Hedy Lamarr told the government agent who delivered her medal to her in a nursing home instead of a check-- "It's about time."

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